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General NPI Number Information
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NPI Number | 1528923562
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Entity Type | Organization
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Legal Business Name | TAYLOR RANDICH, OD, PLLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 4055 HARRIS SQUARE DR
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City | HARRISBURG
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State | NC
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Zip | 28075-5104
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Country | US
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Telephone | 704-223-2595
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 PRAIRIE RD
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City | CONCORD
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State | NC
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Zip | 28027-0062
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAYLOR RANDICH
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Credential | OD
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Telephone | 704-223-2595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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